一般人群样本中酒精消费和心理健康的动态纵向关系:一个双变量潜在变化评分模型

IF 4.9 2区 医学 Q1 CLINICAL NEUROLOGY
Henriette Markwart , Andreas Staudt , Jennis Freyer-Adam , Christian Meyer , Anne Möhring , Diana Gürtler , Hans-Jürgen Rumpf , Ulrich John , Sophie Baumann
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引用次数: 0

摘要

目的心理健康与酒精消费的纵向关系及其影响方向尚不清楚,且研究结果大多存在异质性。这项研究调查了在一个普通人群样本中,随着时间的推移,心理健康和饮酒的相互影响。方法采用816名18-64岁成年人(57.5%为女性)的自我报告数据。参与者在市政登记处积极招募,并在4个测点(基线、3个月、6个月和12个月)提供数据。采用5项心理健康量表评估心理健康状况。使用数量-频率指数测量过去30天内饮酒的次数。不同假设下的双变量潜在变化评分模型分别为:1)酒精消费与心理健康轨迹不相互影响,2)酒精消费影响心理健康变化,3)反之亦然,以及(4)两者相互影响的互惠模型。结果第三种单向耦合模型对数据拟合最佳(卡方(24)= 107.78,p <;.01, cfi = 0.96, rmsea = 0.06, srmr = 0.03)。在早期评估中,较好的心理健康状况与未来较低的饮酒量有关,反之则不然。结论:结果表明,在报告饮酒的一般人群样本中,较高水平的精神健康可能会溢出并导致每月饮酒量减少。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Alcohol consumption and mental health in a dynamic longitudinal relationship in a general population sample: A bivariate latent change score model

Alcohol consumption and mental health in a dynamic longitudinal relationship in a general population sample: A bivariate latent change score model

Objectives

The longitudinal relationship of mental health, alcohol consumption, and their direction of effect are not well understood, and findings are mostly heterogeneous. The study investigates the mutual effects of mental health and alcohol consumption over time in a general population sample.

Methods

Self-report data of n = 816 adults aged 18–64 who reported any alcohol consumption in the past year (57.5 % female) were used. Participants were proactively recruited at a municipal registry office and provided data at 4 measure points (baseline, 3, 6, and 12 months). Mental health was assessed using the 5-Item Mental Health Inventory. Alcohol consumption was measured as the number of drinks in the last 30 days using a quantity-frequency index. Bivariate latent change score models with different assumptions were estimated in four models: 1) alcohol consumption and mental health trajectories did not influence each other, 2) alcohol consumption influenced changes in mental health, 3) vice versa, and (4) a reciprocal model in which both influenced changes in each other.

Results

The third unidirectional coupling model fitted the data best (Chi-square (24) = 107.78, p < .01, CFI = 0.96 RMSEA = 0.06, SRMR = 0.03). Better mental health at earlier assessments was associated with lower alcohol consumption in future, but not vice versa.

Conclusions

The results that, among a general population sample of persons who reported any alcohol consumption, higher levels of mental health may spill over and lead to a decrease in monthly alcohol consumption.
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来源期刊
Journal of affective disorders
Journal of affective disorders 医学-精神病学
CiteScore
10.90
自引率
6.10%
发文量
1319
审稿时长
9.3 weeks
期刊介绍: The Journal of Affective Disorders publishes papers concerned with affective disorders in the widest sense: depression, mania, mood spectrum, emotions and personality, anxiety and stress. It is interdisciplinary and aims to bring together different approaches for a diverse readership. Top quality papers will be accepted dealing with any aspect of affective disorders, including neuroimaging, cognitive neurosciences, genetics, molecular biology, experimental and clinical neurosciences, pharmacology, neuroimmunoendocrinology, intervention and treatment trials.
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